Healthcare Provider Details

I. General information

NPI: 1285962266
Provider Name (Legal Business Name): KATE ALLISON FRICKE CD(DONA)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2009
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14045 SE ELLIS ST
PORTLAND OR
97236-4020
US

IV. Provider business mailing address

14045 SE ELLIS ST
PORTLAND OR
97236-4020
US

V. Phone/Fax

Practice location:
  • Phone: 541-337-2567
  • Fax:
Mailing address:
  • Phone: 541-337-2567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: